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Permit (72) CITY OF TIGARD MASTER PERMIT `� 7 COMMUNITY DEVELOPMENT Permit#: MST2017-00198 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2017 T t" a Parcel: 1 S 134ACO2643 Jurisdiction: Tigard Site address: 11010 SW COTTONWOOD LN Subdivision: ENGLEWOOD NO.3 Lot: 209 Project: BETZ Project Description: Solar photovoltaic system. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $0.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Roof top PV system Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-2 0 Owner: Contractor: BETZ,CHAD M&NICOLE M ENERGY SOLUTIONS LLC Required Items and Reports(Conditions) 11010 SW COTTONWOOD LN PO BOX 887 TIGARD,OR 97223 BEAVERCREEK,OR 97004 PHONE: PHONE: 503-680-3718 FAX: Total Fees: $361.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ' ' • •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 d 1-0010 through 0'' 952-0: 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. .:7 or 1.800.33'.2344. Is-ued By: A IJ' •' i/p Permittee Signature: �� 4 Call 503.639.4175 by 7:00 a.m.for the next available inspect' n date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application ResidentialFOR UI 1 1( 1: 1 �i O'.i.1 City of Tigard aCtiNIE Received Permit No.: 7 10 Date/B �� �� /' r1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ti Phone: 503.718.2439 Fax: 503.598.1960 QV1 Date/B : '" )"' !N Other Permit: 1_(�; R[? Inspection Line: 503.639.4175 SUN Date Ready/By: ' o See Page 2 for Internet: www.tigard-or.gov , 1 Notified/Methodl�' /02 /7 4' 4 - Supplemental Information ()F T16-I 1 TYPE OF•WORI � G REQUIRED DATA1-AND 2-FAMILY DWELLING ❑New construction ❑D`.r. on Permit fees*are based on the value of the work performed. Addition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY'. ONS �ON work indicated on this application. I- 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: O SITE,INFORMATION AND LOCATION Total number of floors: Job site address: New dwelling area: square feet licit, Sw ( v1-fez,��roI1 I rt City/State/ZIP: (i el G.i C D 61-3- I,L Garage/carport area: square feet Suite/bldg./apt.no.: Project name: C<;-. -c C',,I-z, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIREDs DATA:COMMERCIAL-USE CHECKLIST. Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION-OF "OI work indicated on this application. P(—' 5C :<0. J t' 1j c) ( ati(. ?'c k LAJ Valuation: $ �➢' e �� Existing building area: square feet New building area: square feet a PROPERTY OWNER 0 TENANT: ` Number of stories: Name: 0,1_,c:A171 e.;+-Z, Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: PPLIC�41`�T COIF TACT' PERSON <: BUII DING PERMIT FEES Business name: in g . +�"r f--0 n`� (Please refer to lee schedule). Contact name: 4r p Structural plan review fee(or deposit): (�(�,� ( I vt S 1.-e.../1 FLS plan review fee(if applicable): Address: P Q f?�O '� � Total fees due upon application: City/State/ZIP: - tom- (3 L,-.v{!', f..c_.Lk �J� 417-00. ' Amount received: Phone:(7���) 612)444�t �•�-I t� Fax::( ) E-mail: ' 20 PHO!OVOLTAIIC SOLAR PANEL SYSTEM.FEES* " ..A a". - �'1-t. r LA� Commercial and residential prescriptive installation of CONTRACTOR .. :` ">" roof-top mounted PhotoVoltaic Solar Panel System. Business name: fi Submit two(2)sets of roof plan with connection details 4,._.",..,:77 ,�} I t ,...A._, and fire department access,along with the 2010 Oregon Address: �; -- O x t 2�.?— Solar Installation Specialty Code checklist. City/State/ZIP: , ,..),_de- C-17--X12 �� ei (ILI 1E Permit Fee(includes plan review $180.00 and administrative fees): Phone:( co--3) t.6(f, 3.-F( �;) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: • 1)r' CO 0_, ..--r 4c,...-- S'cTotal fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: *Fee methodology set by Tri-County Building Industry Print name: �;:^ i" 4-- Li h rj S ( Z (/ Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR 0141( 1' 1 S1.0y1.1 City of Tigard +� �j Received Date/By: Petmrt/fs� // ez/9f> III 4 13125 SW Hall Blvd.,Tigard,OR 97223RECEINTEC PlanReview a Phone: 503.718.2439 Fax: 503.598.1960 5 Date/By: Related Permit#: Inspection Line: 503.639.4175 } ��17 Ready DateBy: Juris: ®See Page 2 for T16ARD ljN Internet: www.tigard-or.gov J Notified/Method: Supplemental Information TiS OF Q . 14 fl(1A 1 El New construction XAdditiOtl/alteratio T( 6 DIVISION Please check all that apply(submit i+sets of plans w/items checked): ❑Demolition ❑Other: ) 3 ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. CATV OR ' ,OI CON T4.11C'j )hj exceeds 10,000 amps at 150 volts or 0 Floating buildings. �1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural !❑Multi-family 0 Master builder 0 Other: amps for all other installations. buildings. re pump. 0 Installation of 150 KVA or { l I' .` RMA I I©N A1�1I2'LOCATION l ION ❑Emergency system. larger separately derived Job#: P ❑Addition of new motor load of system. 5.. V)E.ly Job site address: �h o to ` "- (..0 r-T,:n vac:.,,f Let. 100HP or more. ❑«A„ «E„ «1 2„<.1 3„ Ci /Stoic/ZIP: 1 ..-,. V��,try �` ❑Six or more residential units. occupancy. /? 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than c7 ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ,;FEE 1. r. I Y1 < Description Qty. I Each I Total I *- New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'!500 sq.ft.or portion 33.92 1 . , .. � .,O'F WORK 1 Limited energy,residential (with above sq.ft.) 75.00 2 e f L Sc Y't P i-1` ... se( , i 7 S .G' (C'✓ Limited energy,multi-family 75.00 2 bill f-1, residential(with above sq.ft.) Renewable Energy 0 See Page 2 CI P .me `:p w J D T Services or feeders installation,alteration,and/or relocation Name: (,\.,,_,„,l e- 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits alteration, extension,';;14)144.0.60.m.„!;,!,,,,, �.�- � � - ,- :� -new, or per panel I . �t ._... .., Feeforbranchcircuits with �- _ _A ranc w _ Business name: V e,,, e.f 1 7 c l v t y 5 above service or feeder fee, 7 1...:t`,.., each branch circuit 7.42 2 Contact name: C,._.,,. ,4- 1.i` 6l S 1 B.Fee for branch circuits without !� service or feeder fee,first Address: C I,)c) ' _ ! branch circuit 56.18 2 City/State/ZIP: '-'3 G Each add'l branch circuit 7.42 2 'g Miscellaneous(service or feeder not included) Phone:(c) ) ,g u -22 .,j f, Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: (I re,,y�fe (.--c-,1 v 1-1-6.,4,,.-c),-. z__,,, ,— Reconnect only 67.84 2 . . - . A . Pump or irrigation circle 67.84 2 Business name: Ct.4-f L(_,,a„4. .. ) -E.4,, c_ Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energySee Pae 2 2 Address: pc) e .;K S t panel,alteration,or extension. ❑ g '� C> Each additional inspection over allowable in any of the above City/State/ZIP: ` „V'Gf=' 't-h'- ,"'' 61 � Additional inspection(1 hr min) 66.25/hr Phone:(5)5) �-S•x_2,-1 7—(..) Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Off-:r.--e- C 1 ,-,--x ,,,..h , . I `(— CU A--".- _ Inspections for which no fee is CCB Lic.:i()1i Z3 Electrical 'c.: 36 ,G Suprv.Lic.: 5o t.+1 5 specifically listed('V2 hr min) 90.00/hr S Suprv.Electrician signature,required: �"- IAL P WES Subtotal: Print name: c,„ u Pt,..c 4, Date: $ i l I 1 1.1, 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 1/41j/( ��1�i"v vim TOTAL PERMIT FEE: i/ j This permit application expires if a permit is not obtained within 180 Print name: La 1 -t--F., t-Fn des.!' Date:' 1l 1/ j ... days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC PermitApp ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB City of Tigard '' Building DivisionECEWED II 13125 SW Hall Blvd, Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 2017 Ti G A R D Inspection Line: 503.639.4175 CITww.tigard-or.govI' w BUILDING DIVISION 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: k1Uro so) c_ 0 tEr✓" tA..)eC7rJ< City: T7 G,.r,A Zip: c - Z 3 Owner's Name: C kk_c_L � � .r Date: C- 1 r C r �..- Contractor's Name: CCB #: .T d— oc2 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation 0 Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? `ZNo OSSC or ORSC for — - design requirements. Wind Exposure Is the wind exposure Yes If"Yes", qualifies for "C"or less? ❑ No the prescriptive path. Installations on detached Is the Ground Snow single/two-family Load 70 psf or less? dwelling/single/two- If"Yes", qualifies for family townhomes &Yes the prescriptive path. and/or their accessory Ground structures. ❑ No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? structures other than If"Yes",qualifies for Yes the prescriptive path. above ❑ No 1 I:Building/Forms/PhotoVoltaic-Checklist.docx Is the construction material wood and does Yes "Yes", Type of the construction qualify If Yes , qualifies for Construction as"conventional light ElNo the prescriptive path. frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. 1112, Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or le s? Nominal lumber. If"Yes", qualifies for ►:� Yes or the prescriptive path. ❑ No Is the combined weight .0. Yes of the PV modules and If"Yes", qualifies for racking less than or ❑ No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation layout in accordance 0 Yes with Section 305.4(3) of If"Yes", Yes ,qualifies for the 2010 Oregon Solar El the prescriptive path. Code? ❑ Metal Ingle layer If roofing material is Roofing Check the type of of wood one of the three types material roofing material shingle/shake checked, qualifies for Max.two layers the prescriptive path. El of composition shingle. Is the roof mounted 1E1 Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoVoltaic-Checklist.docx ❑ Yes If"Yes", qualifies for Is the gauge 26 or less? ❑ No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes",qualifies for ❑ Yes the prescriptive path. ❑ No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for 0 Yes the prescriptive path. ❑ No Attahment of roof mountedIf the spacing falls Minimum 24 inches solar systems Spacing of clamps? within 24 inches and 60 directly to inches Maximum 60 inches inches, qualifies for the prescriptive path. standing seam metal panels Width of roofing If the width of the panel panels? 18 inches or less is less than 18 inches, inches qualifies for the prescriptive path. Minimum#10 at 24 inches o/c? Size and spacing of If"Yes", qualifies for fastener? 0 Yes the prescriptive path. ❑ No Is the roof decking of WSP min. '/z"thickness, 0 Yes decking connected to If"Yes", qualifies for framing members 0 No the prescriptive path. w/min. 8d nails @ 6"/12"o/c? Is the height less than or Maximum 18 inches equal to 18 inches? Height of the from the top of the If"Yes", qualifies for solar modules module to the roof Yes the prescriptive path. surface. 0 No 3 I:Building/Forms/PhotoVoltaic-Checklist.docx Submittal Documents required for Prescriptive Installations Show the location of the PV system in relation to buildings, structures, property lines, and,as applicable, flood hazard areas. Site Plan Details must be clear and easy to read. Minimum size of the plan is 8.5 x 11 inches. Attach a simple structural plan showing the roof framing(rafter size,type, and spacing) and PV module system racking attachment. System must be shown in sufficient detail and clarity to assess whether it Structural Plan meets the prescriptive construction requirements as listed earlier above in the matrix. Minimum size of the plan is 8.5 x 11 inches. PV Modules Manufacturer: (41, ,,, _L, Model Number: C5C T Ze 1 5 ,,,1 Listing Agency: 4 I:/Building/Forms/PhotoVoltaic-Checklist.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11010 SW COTTONWOOD LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00198 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11010 SW COTTONWOOD LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2017-00198 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor